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ATI PHARMACOLOGY PROCTORED 2019 STUDY GUIDE

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ATI PHARMACOLOGY 2019 REVISION GUIDE - LATEST A client has been prescribed metoclopramide. Which of the following should the nurse include in client education regarding this medication? Select one: a.... Notify your provider if you experience restlessness or spasms of the face or neck. An adverse effect of Reglan is extrapyramidal symptoms. The client should stop the medication and notify the provider if these occur. b. This medication can cause urinary frequency. c. Decrease your fluid intake while taking this medication. d. This medication can cause insomnia. A 52-year-old client with a history of angina has been prescribed transdermal nitroglycerin. Which of the following adverse effects is not seen with this therapy? Select one: a. Headache b. Orthostatic hypotension c. Tolerance d. Productive cough Correct – Nitroglycerin therapy does not directly have an effect lung function. Physiologically, vasodilation should effect capillary perfusion and decrease lung secretions. A nurse is caring for a client prescribed montelukast. Which of the following should the nurse include in teaching related to this medication? Select one: a. Advise client to take the medication once daily at bedtime b. If the client forgets to take the medication for a few days he can double up on doses to catch up. c. Avoid dairy products while taking this medication. d. This medication is for acute management of asthma A nurse is caring for a client prescribed ferrous sulfate for the treatment of anemia. Which of the following instructions should be included in client teaching about this medication? A nurse is caring for a client who has diabetes and a new prescription for 14 units of regular insulin and 28 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe? A nurse is caring for a client receiving patient-controlled analgesia (PCA). Which of the following interventions should the nurse take while caring for this client? A nurse is reviewing the medication class, benzodiazepines. The nurse would use caution when administering benzodiazepines to which of the below clients? Select one: a. A client with insomnia. b. A client with renal failure. c. A client with hypertension. d. A client with glaucoma A nurse is monitoring a client who received an excessive dose of morphine. Which of the following adverse effects should the nurse identify as the priority? -nausea and vomiting -urinary retention -decreased respirations -increased drowsiness -A nurse is caring for a client who has a prescription for a hypotonic IV fluid. Which of the following solutions should the nurse expect to administer? 0.45% sodium chloride 0.9% sodium chloride 3% sodium chloride Lactated ringers -A nurse is caring for a client who refuses a prescribed dose of Valproic acid 250 mg PO. The client states I don’t want to take that pill because it makes me feel nauseated. Which of the following actions should the nurse take? Select all that apply. Educate the client about the possible consequences of not taking the medication. Suggest the client take food with the medication to minimize GI effects. Document the clients refusal in the medication administration record. Offer to administer the medication I am. Recommend a client ask the provider to prescribe and enteric-coated medication. -A nurse is caring for a client who has open angle glaucoma and a new prescription for acetazolamide. Prior to administering the first dose the nurse should ask the client if they have an allergy to which of the following medication classifications? Nitrates sulfa-based medications antilipemic agents proton pump inhibitors -A nurse in an emergency department is caring for a client who has a new prescription for acetylcysteine. For which of the following conditions should the nurse expect to administer this medication? Gastrointestinal bleed acute bronchospasm morphine toxicity acetaminophen toxicity -A nurse is caring for a client who has a prescription for Terazosin. The nurse should identify that this medication is indicated for which of the following disorders? Select all that apply. Hypertension heart failure male pattern baldness benign prostatic hypertrophy erectile dysfunction -A nurse is assessing a client who reports taking spironolactone 50 mg PO twice daily for several months. For which of the following manifestations should the nurse withhold the prescribed dose of spironolactone and notify the provider? Muscle weakness BUN 15 mg/DL gynecomastia BP 118/78 -A nurse is providing teaching for a client who has a new prescription for oral metronidazole. Which of the following teaching points is the priority for the nurse to include? You should report a rash to your provider. You should take the medication with food or milk if you experience gastrointestinal upset. You might have a metallic taste in your mouth while taking this medication. Your urine might become brownish in color while taking this medication. -A nurse in an intensive care unit is caring for a client who has a sudden onset of sustained supraventricular tachycardia SVT. Which of the following medication should the nurse plan to administer? Atropine enalapril lidocaine adenosine -A nurse is preparing to administer verapamil to a client who is 2 days post myocardial infarction. The nurse should monitor the client for which of the following outcomes as a therapeutic response to the medication? Increased heart rate increased blood pressure decreased pulmonary congestion decreased anginal pain -A nurse is reviewing laboratory results prior to administering ketorolac to a client. Which of the following findings should the nurse report to the provider prior to administration? Sodium 140 MEQ/L creatinine 1.6 MG/DL aspartate aminotransferase AST 33 units/L lactic acid 6 mg/DL -A nurse is assessing a client who has heart failure and is taking digoxin. Which of the following manifestations should the nurse report to the provider as an indication for digoxin toxicity? Vomiting dilated pupils bruising peripheral edema -A nurse is providing teaching to a client who has neuropathic pain and a new prescription for optyline once per day. Which of the following information should the nurse include in the teaching? Increase fluids while taking the medication. Expect an elevation in blood pressure with initial doses of the medication. Stop the medication immediately if urine becomes orange in color. Take the medication in the morning. -A nurse is providing teaching to a client who has a new prescription for transdermal nitroglycerin patches to treat angina pectoris. Which of the following instructions should the nurse include in the teaching? Remove the patch for 2 to 4 hours daily. Cover the patch with plastic wrap. Apply a new patch each day after waking up. Replace the existing patch with a new patch as soon as angina pain begins. -A nurse is teaching a partner of a client who has diabetes mellitus how to manage episodes of severe hypoglycemia when the client is unresponsive. Which of the following actions should the nurse instruct a partner to take first? Administer glucagon IM to the client. Call emergency medical services. Check the client's blood glucose level. Transport a client to the emergency department. -A nurse is caring for a client who has HIV and is starting therapy with ritonavir and zidovudine. The client asked why must they take both medications. Which of the following responses should the nurse make? If you take the two medications together it will shorten the duration of your antiviral therapy. Taking the two medications together keeps you from becoming resistant to either of them. Taking the two medications together keeps you from developing toxicity from either of them. zidovudine will help protect you from the possible adverse effects of right on ritonavir. -A nurse is caring for a client who refuses a prescribed influenza immunization. Which of the following actions should the nurse take first? Contact the provider who prescribed the immunization. Ask the client to describe their concerns. Provide the client with education about the immunization. Document the client's refusal of the immunization. -A nurse is preparing to administer a second unit of packed red blood cells RBCs to a client who is experiencing hemorrhagic shock. The nurse should monitor the client for which of the following manifestations as an indication of circulatory overload? Chills wheezing dyspnea flushing -A nurse is caring for a client who has a new prescription for our lost citron. Which of the following therapeutic effects should the nurse expect the client to experience? A decrease in the amount of gastric acid production. A decrease in the frequency of defecation. An increase in gastric motility. An increase in the absorption of water into the intestines. -A nurse is caring for a client who has recurrent lower urinary tract infections UTI. Which of the following medications should the nurse expect to administer? Ganciclovir Amphotericin B Azithromycin Nitrofurantoin -A nurse is reviewing medical records for a group of clients. Which of the following findings should the nurse report to the provider? A client who is taking citalopram and has a prolonged QT interval. A client who is taking duloxetine and has an alanine transaminase ALT of 32 units/L. A client who is taking fluoxetine and has gained 1 kg (2.2 pounds) over 12 weeks. A client who is taking carbamazepine and has a platelet count of 320,000/MM3 -A nurse is caring for a client who has a prescription for vancomycin 1 g IV intermittent infusion over 30 minutes every 12 hours. Which of the following actions should the nurse take? Request a serum trough level blood draw for 60 minutes after completion of infusion. Change that infusion site after each dose administration. Contact the provider for prescription clarification. Request a serum peak level to be drawn 30 minutes prior to infusion. -A nurse is providing teaching to a client who has a new prescription for folic acid. The client states I thought that was only given during pregnancy. Which of the following statements should the nurse make? Folic acid is important for stimulating the immune system. Folic acid is given to increase the absorption of other medications. Folic acid is administered to minimize the manifestation of benign prostatic hyperplasia. Folic acid is important for the building of blood cells. -A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity? Vitamin K physostigmine protamine calcium gluconate -A nurse is planning care for a client who has neutropenia. Which of the following medications should the nurse expect to administer? Epoetin Filgrastim Enoxaparin Oprelvekin -A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about beclomethasone inhaler? You should gargle with water after each use of this inhaler. There is no need to use a spacer for this inhaler. You should use this inhaler for any acute incident of shortness of breath. Use the beclomethasone inhaler before using your albuterol inhaler to increase absorption. -A nurse is providing teaching to a client who has a new prescription for levothyroxine. Which of the following statements by the client indicates an understanding of the teaching? I should take this medication with food. I will take three doses each day. I might not realize the full effect of the medication for several weeks. I might gain weight while taking this medication if I do not exercise. -A nurse is reviewing the medical record of a client who receives medications one hour ago and reports having chest pain. The nurse should recognize that chest pain can be an adverse effect of which of the following medications? Albuterol Furosemide Digoxin Atenolol -A nurse is teaching a group of newly licensed nurses about the prevention of medication errors. Which of the following factors should the nurse identify as the most frequent cause of fatal medication errors? Incorrect packaging such as a topical medication packaged as an oral medication. Delivery device problems such as an infusion pump malfunction. Name confusion between two medications with similar sounding names. Incorrect labeling of a medication dispensed by the pharmacy. -A nurse is planning a staff education session about adverse effects of medications. Which of the following information should the nurse include when discussing the adverse effects of anticholinergic medications? Select all that apply. Blurred vision polyuria productive cough tachycardia constipation 30. A nurse is planning a staff education session about adverse effects of medications. Which of the following information should the nurse include when discussing the adverse effects of anticholinergic mediations? Select all a) Blurred vision b) Polyuria c) Productive cough d) Tachycardia e) Constipation 31. A nurse is providing teaching to a client who has Parkinson’s disease and has a new prescription for carbidopa/ levodopa. Which of the following instructions should the nurse include in the teaching? a) Stop taking the medication if your urine becomes dark b) Take this medication at the first sign of tremors c) Increase you intake of foods high in protein d) Move slowly when you stand up 32. A nurse is caring for a client who has osteoporosis and a new prescription for raloxifene. Which of the following should the nurse assess prior to initiating therapy? a) CBC results b) Family history of colon cancer c) Thyroid function d) Pregnancy status 33. A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting to take immediate-release exenatide. Which of the following client statements indicates an understanding of the teaching? a) “I will discard the open injector pen after two months” b) “I will inject the medication into the muscle of my thigh” c) “I will store open injector pens at room temperature” d) “I will take this medication one hour before morning and evening meals” 34. A nurse is teaching a client who has a new prescription for brimonidine to treat open- angle glaucoma. Which of the following client statements indicated an understanding of the teaching? a) “It’s okay to put the drops in my eyes while Im weaing my contacts” b) “I can expect to feel some irritation when I put these drops in my eyes” c) “I should expec to stop taking the medication after 3 weeks” d) “At least these drops will help clear up the redness I get in my eyes sometimes” 35. While assessing a client at the beginning of the shift, a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error? a) After the end of the current shift b) After contacting risk management c) As soon as the assessment is complete d) As soon as the nurse from the previous shift has been informed 36. A nurse is providing teaching to a client who has a new prescription for oral extended-release potassium chloride tablets. Which of the following instructions should the nurse include in the teaching? a) “do not crush this medication” b) “dissolve the tablet in your mouth” c) “Take this medication on an empty stomach” d) “Take this medication every other day” 37. A nurse is providing teaching to a client who has a new prescription for ranitidine for the treatment of Zollinger-Ellison syndrome. The nurse should explain to the client that ranitidine treats ulcers through which of the following actions? a) It decreases stomach motility b) It reduces gastric acid production c) It forms a protective barrier in the stomach lining d) It neutralizes gastric acid 38. A nurse is providing teaching to a client who has a new prescription for oxybutynin. Which of the following client statements indicate an understand of the teaching? a) “I will limit my fluid intake” b) “I may continue to take my antihistamines” c) “I should eat less fiber” d) “I need to avoid jogging on warm days” 39. A nurse in the PACU is caring for a client who has received general anesthesia and has manifestations of malignant hyperthermia. Which of the following medications should the nurse expect to administer? a) Diazepam b) Dantrolene c) Cyclobenzaprine d) Mextaxalone 40. A nurse is caring for four clients who have peptic ulcer disease. The nurse should recognize that misoprostol is contradicted for which of the following clients? A. A client who might be pregnant B A client who is experiencing diarrhea C. A client who is receiving long-term NSAID therapy D. A client who has a gastrointestinal bleed 41. A nurse is caring for a client who has varicella-zoster virus. Which of the following medications should the nurse expect to administer? A. Acyclovir B. Vancomycin C. Gentamicin D. Quinine 42. A nurse is providing teaching to a client who has a new prescription for ciprofloxacin. Which of the following client statements indicate an understanding of the teaching? A. “I will stop taking this medication when I feel better.” B. “I should wear protective clothing when I go outdoor” C. “I should take my medication daily in the morning with milk” D. “I should stop taking my birth control pills while I’m taking this medication” 43. A nurse is preparing to administer mannitol IV to a client. The nurse should monitor the client for which of the following manifestations as an expected outcome of this medication? A. Decreased thyroxine levels B. Correction of atrial flutter C. Reduced intracranial pressure D. Increased hemoglobin levels 44. A nurse is caring for a client who is experiencing respiratory depression after taking an excessive dose of oxycodone. Which of the following medications should the nurse expect to administer? A. Bisacodyl B. Naloxone C. Flumazenil D. Pentazocine 45. A nurse is teaching a client who is starting subcutaneous leuprolide for the treatment of prostate cancer. Which of the following information should the nurse include in the teaching? A. Increase calcium intake B. Keep the solution cold for administration C. Monitor for low blood glucose levels D. The medication can cause constipation 46. I nurse is discussing adverse effects with a client who has non-Hodgkin’s lymphoma and is starting to take methotrexate. Which of the following information should the nurse provide? A. Methotrexate can increase the risk the bleeding B. Methotrexate can cause bradycardia C. Methotrexate can cause arthritic pain D. Methotrexate can cause insomnia 47. A nurse is providing teaching to a client who has a new prescription for montelukast. Which of the following statements by the client indicates an understanding of the teaching? A. “I will take an extra dose of this medication if I have an acute asthma attack.” B. “I can take up to four tablets per day to help control my asthma symptoms” C. “I will take this medication every day to control my exercise induced D. “I should always keep this medication with me incase I have an acute asthma attack.” 48. A nurse is reviewing the laboratory findings for a client who is taking zidovudine to treat HIV. Which of the following findings should the nurse report to the provider? A. Platelets 165,000/mm3 B. Neutrophil count 650/mm3 C. Hgb 15 g/dL D. Albumin 4 g/dL 49. A nurse is providing teaching to a client who has a new prescription for allopurinol to treat gout. Which of the following instructions should the nurse include in the teaching A. “Expect to experience a harmless rash while taking this medication” B. “Increase your fluid intake” C. “Increase your dietary fiber intake to prevent constipation D. “Take one dose every hour until the pain subsides” 50. A nurse is obtaining vital signs for a client who has been taking propranolol. Which of the following findings should the nurse identify as an adverse effect on the medication? A. Respiratory rate 20/min B. Oral temperature 37.8C (100.1) C. Blood pressure 118/78 mmHg D. Apical pulse 50/min continued............DOWNLOAD FOR MORE REVISION [Show More]

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